<form id="add-form" class="form-horizontal" role="form" data-toggle="validator" method="POST" action="">

    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Caller_id_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-caller_id_name" class="form-control" name="row[caller_id_name]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Caller_id_number')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-caller_id_number" class="form-control" name="row[caller_id_number]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Destination_number')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-destination_number" class="form-control" name="row[destination_number]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Gateway')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-gateway" class="form-control" name="row[gateway]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Context')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-context" class="form-control" name="row[context]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Start_stamp')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-start_stamp" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[start_stamp]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Answer_stamp')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-answer_stamp" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[answer_stamp]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('End_stamp')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-end_stamp" class="form-control datetimepicker" data-date-format="YYYY-MM-DD HH:mm:ss" data-use-current="true" name="row[end_stamp]" type="text" value="{:date('Y-m-d H:i:s')}">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Duration')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-duration" class="form-control" name="row[duration]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Billsec')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-billsec" class="form-control" name="row[billsec]" type="number">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Hangup_cause')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-hangup_cause" class="form-control" name="row[hangup_cause]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Bridge_hangup_cause')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bridge_hangup_cause" class="form-control" name="row[bridge_hangup_cause]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Uuid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-uuid" class="form-control" name="row[uuid]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Bleg_uuid')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-bleg_uuid" class="form-control" name="row[bleg_uuid]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Accountcode')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-accountcode" class="form-control" name="row[accountcode]" type="text">
        </div>
    </div>
    <div class="form-group">
        <label class="control-label col-xs-12 col-sm-2">{:__('Domain_name')}:</label>
        <div class="col-xs-12 col-sm-8">
            <input id="c-domain_name" class="form-control" name="row[domain_name]" type="text">
        </div>
    </div>
    <div class="form-group layer-footer">
        <label class="control-label col-xs-12 col-sm-2"></label>
        <div class="col-xs-12 col-sm-8">
            <button type="submit" class="btn btn-success btn-embossed disabled">{:__('OK')}</button>
            <button type="reset" class="btn btn-default btn-embossed">{:__('Reset')}</button>
        </div>
    </div>
</form>
